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Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: Diagnosis of gestational diabetes: a 'teachable moment'
Author(s): Okely, Judy
Mason, Corina
Collier, Andrew
Dunnachie, Noreen
Swanson, Vivien
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Keywords: gestational diabetes
psychological aspects
Issue Date: Feb-2019
Date Deposited: 14-Sep-2018
Citation: Okely J, Mason C, Collier A, Dunnachie N & Swanson V (2019) Diagnosis of gestational diabetes: a 'teachable moment'. Diabetic Medicine, 36 (2), pp. 184-194.
Abstract: Aims Research regarding the determinants of concordance with gestational diabetes mellitus (GDM) treatment is limited. Here, we test whether the psychosocial changes outlined in the teachable moments model, as proposed by McBride et al. (McBride CM, Emmons KM, Lipkus IM. Understanding the potential of teachable moments: the case of smoking cessation. Health Educ Res 2003; 18: 156–170) are associated with following GDM treatment recommendations. Methods Fifty‐nine women completed a baseline questionnaire (1 week after GDM diagnosis) in which they reported risk perception, social support, emotional response, the importance of their maternal identity and self‐efficacy. One month later, participants reported their concordance with instructions regarding glucose monitoring, diet and, if applicable, medication. We used regression analysis to test for associations between the psychosocial factors measured at baseline and concordance at 1‐month follow‐up. Results Those who perceived their risk as higher or felt supported by family or friends were more likely to report a high level of concordance with GDM treatment. Emotional response, identity salience and self‐efficacy were not related to concordance. Conclusions Future interventions designed to increase concordance could benefit from a focus on risk perception and social support, as these factors appear to be most strongly associated with following GDM treatment recommendations.
DOI Link: 10.1111/dme.13803
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This is the peer reviewed version of the following article: Okely J, Mason C, Collier A, Dunnachie N & Swanson V (2019) Diagnosis of gestational diabetes: a 'teachable moment'. Diabetic Medicine, 36 (2), pp. 184-194, which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for self-archiving.
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